Case report: Is mid-trimester cesarean section an unrecognized risk factor for accidental extension to the lower uterine segment?

Predstavitev primera: Je carski rez v drugem trimestru nosečnosti nerazpoznavni dejavnik tveganja za nenamerno podaljšanje histerotomije v spodnji del maternice?

Authors

  • Leyla Al Mahdawi University Medical Centre Maribor, University Department of Gynecology and Perinatology, Department of Gynecological Oncology and Breast Oncology Author
  • Lucija Kuder University Medical Centre Maribor, University Department of Gynecology and Perinatology, Department of Perinatology Author
  • Faris Mujezinović University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics Author

DOI:

https://doi.org/10.18690/actabiomed.217

Keywords:

second trimester cesarean section, unintentional hysterotomy tear, cesarean section technique

Abstract

Purpose: Hysterotomy extension at the time of cesarean section is frequent and associated with severe blood loss, risk of transfusion, and unplanned hysterectomy. Cesarean section during the second stage of labor is the most important risk
factor.
Case report: We describe a case of a 35-year-old gravida 4 para 1 at 26+1 weeks gestation who underwent a repeat cesarean section. An unintentional hysterotomy extension led to severe blood loss. The patient was discharged on day 4 after the operation in stable condition.
Conclusion: Hysterotomy extension is associated with higher maternal morbidity and mortality. Blunt expansion of the hysterotomy and a reverse breech extraction are associated with a lower uterine tear rate.

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Author Biographies

  • Leyla Al Mahdawi, University Medical Centre Maribor, University Department of Gynecology and Perinatology, Department of Gynecological Oncology and Breast Oncology

    Doctor of Medicine. Maribor, Slovenia. E-mail: almahdawi@gmail.com (Correspondence)

  • Lucija Kuder, University Medical Centre Maribor, University Department of Gynecology and Perinatology, Department of Perinatology

    Maribor, Slovenia.

  • Faris Mujezinović, University of Maribor, Faculty of Medicine, Department of Gynecology and Obstetrics

    Maribor, Slovenia.

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Published

23.11.2021

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Articles

How to Cite

Al Mahdawi, L., Kuder, L., & Mujezinović, F. (2021). Case report: Is mid-trimester cesarean section an unrecognized risk factor for accidental extension to the lower uterine segment? Predstavitev primera: Je carski rez v drugem trimestru nosečnosti nerazpoznavni dejavnik tveganja za nenamerno podaljšanje histerotomije v spodnji del maternice?. Acta Medico-Biotechnica, 14(1), 73-76. https://doi.org/10.18690/actabiomed.217